Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02828 | Date 16/08/2019 |
| Token No | SM/18-19/5689 16/08/2019 | Serial | 057 |
| Patient Name | Mr. SOUMYA PRAMANIK | Contact No | 8956235822 |
| Address | DHULIPARA | Age | 27 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||